Marisa Riddle, CRNA
NPI 1396203089 · Certified Registered Nurse Anesthetist · Glendale, AZ
Enrolled with Medicare as Practitioner - Certified Registered Nurse Anesthetist (crna) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Marisa Riddle, CRNA is a Certified Registered Nurse Anesthetist provider in Glendale, AZ (NPI 1396203089).
Provider details
- NPI number
- 1396203089
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNA
- Sex
- Female
- Sole proprietor
- Yes
- License
- 278016 (AZ)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-03-12
- Last updated
- 2024-04-08
- Certified
- 2024-04-08
Frequently asked questions
- What is Marisa Riddle's NPI number?
- Marisa Riddle's National Provider Identifier (NPI) is 1396203089, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Marisa Riddle's specialty?
- Marisa Riddle is listed in the NPPES registry with a primary specialty of Certified Registered Nurse Anesthetist (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Marisa Riddle located?
- Marisa Riddle's practice location on file with NPPES is 18701 N 67th Ave, Glendale, AZ 85308-7100.
- What is Marisa Riddle's phone number?
- The practice phone number listed in the NPPES registry for Marisa Riddle is (623) 561-1000.
- Does Marisa Riddle accept Medicare?
- Marisa Riddle is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Marisa Riddle's NPI active?
- Yes — Marisa Riddle's NPI (1396203089) is active in the NPPES registry as of the last update on 2024-04-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.